Does an 8mm tear of rotator cuff have to be surgically repaired?

Not necessarily. The decision to surgically repair an 8mm tear of the rotator cuff depends on several factors, including the severity of the tear, the location of the tear, and the patient's age, activity level, and overall health.

In some cases, a nonsurgical approach may be recommended, which may include rest, ice, and physical therapy to help strengthen and rehabilitate the shoulder. However, if the tear is significant, involves multiple tendons, or is causing persistent pain and functional limitations, surgery may be considered the best option.

The type of surgical repair will also depend on the specific characteristics of the tear. Arthroscopic rotator cuff repair is a commonly used minimally invasive surgical technique that involves making small incisions in the shoulder and using a camera and specialized instruments to repair the torn tendon. In more severe cases, open surgery may be necessary to provide better visualization and access to the damaged area.

Ultimately, the decision to undergo surgical repair or opt for a nonsurgical approach should be made in consultation with an experienced orthopedic surgeon who can assess the individual's condition and recommend the most suitable treatment plan based on their specific needs and circumstances.